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Weekend Utilization Review Jobs in Ohio (NOW HIRING)

Works with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities aimed at providing Healthcare members ...

Utilization Management Rep I Utilization Management RepresentativeI Virtual: This role enables ... Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ...

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Weekend Utilization Review information

See Ohio salary details

$20

$40

$65

How much do weekend utilization review jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for weekend utilization review in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 per hour, depending on experience, location, and employer.

What does a typical weekend shift look like for a Utilization Review professional?

Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.

What is a Weekend Utilization Review job?

A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Weekend Utilization Review position, and why are they important?

Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.

What are the most commonly searched types of Utilization Review jobs in Ohio? The most popular types of Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Weekend Utilization Review jobs? Cities in Ohio with the most Weekend Utilization Review job openings:
Utilization Review Case Manager

Utilization Review Case Manager

Holzer Health System

Gallipolis, OH

Full-time

Posted 13 days ago


Holzer Health System rating

6.3

Company rating: 6.3 out of 10

Based on 36 frontline employees who took The Breakroom Quiz

632nd of 872 rated healthcare providers


Job description

Works under the supervision of the Director of Care Management. Reviews the medical record on a concurrent basis, utilizing criteria accepted and approved by the Medical Staff, for admissions and continued stay of patients requiring acute care or observation. Monitors the plan of care to ensure the efficient utilization of resources. Collaborates with the multidisciplinary team to improve clinical care, customer satisfaction, organizational and financial outcomes. Serves as a clinical expert and resource in Utilization Review and Case Management. Partners with Social Workers to refer potential candidates for Post-Acute Care services to facilitate early discharge planning and transitions of care. Responsible for reviewing hospital patient account for correct status and billing compliance. Assists with Performance Improvement monitoring and reporting activities. Performs other duties as assigned.

 

Education, Work Experience and Licensure:

 

· Graduate of an accredited School of Nursing. BSN preferred.

 

· Active RN license recognized by the Ohio Board of Nursing.

 

· A minimum of three years experience as a registered nurse in acute care for adult or pediatric patients required. Past Hospital experience in related field will be taken into consideration.

 

· Professional experience with case management, utilization review, or discharge planning highly desirable.

 

· Certification/Accreditation in Case Management required within 2 years of eligibility.


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